Healthy Places, Healthy Lives Dr Catherine Hannaway

Senior Fellow, NHS Institute for Innovation and Improvement

Healthy Places, Healthy Lives is a national programme to improve health inequalities through commissioner-led actions on the wider and social determinants of health. The programme brings together the expert knowledge of the Health Inequalities National Support Team (HI NST), Local Government Improvement & Development (LG ID) and the NHS Institute For Innovation And Improvement (NHSI), in addition to access to the findings of the Marmot Review and national Total Place programme.

3

2) Enable all children, young people & adults

to maximise their capabilities & control their

lives.

Policy objectives

Effective evidence-based delivery systems.

Reduce health inequalities and improve health and well-being for all.

Policy Goals

Create an enabling society that maximises individual and

community potential.

Ensure social justice, healthand sustainability are at heart of

policies.

5) Create and develop

healthy and environmentally

sustainable places &

communities.

4) Ensure healthy

standard of living for all.

3) Create fair

employment & decent

work for all.

1) Give every

child the best start

in life.

Equality & health equity in all policies.

6) Strengthen the role and impact of ill-

health prevention.

Policy mechanisms

Site Topic Site Topic

Barking & Dagenham

Obesity Kirklees Infant Mortality

Isle of White Alcohol Tees Early detection of cancer

Eastern & Coastal Kent

Teenage Pregnancy Lincolnshire Alcohol

Milton Keynes Obesity Great Yarmouth Alcohol

Brighton Alcohol NE Lincs Childhood Obesity

Medway Cardio Vascular Disease

Ashton/Wigan Domestic Violence/children

Southampton Obesity Salford Smoking, exercise & wt reduction

Enfield Childhood Obesity Warrington Risky Behaviours in Teenagers

Luton Childhood Obesity Trafford Alcohol and Drug Misuse

Tower Hamlets Adult re-offending Warwickshire

Coventry Wolverhampton Alcohol

Stoke on Trent Smoking Cessation Herefordshire CVD & Smoking Cessation

Blackburn/Darwen

Domestic Violence North Lincs Risky Behaviours in Teenagers

Early Detection of Cancer

in Hartlepool

Louise Wallace

Assistant Director Health Improvement

Healthy Places Healthy Lives (HPHL)

• HPHL – one example of partnership and collaborative working to solve complex public health issue

• Hartlepool, like many other places across North East, have a long tradition of strong partnership working

• Complexity of many public health problems – it is essential to have effective partnerships to get outcomes

Partnership

• Improve awareness – early detection of lung and bowel cancer

• Reduce inequalities – access and outcome• Measurable, demonstrable• Legacy - sustainable

HPHL – what are we trying to achieve together?

• Scope key stakeholders – who is interested• Get buy in• Pool baseline information, evidence, gap analysis• Agree a realistic, measurable aim• Plan how to get there• Know when you have been successful

Where do you begin?

Patient/Public CliniciansCommunity Leaders

Public Health PoliticiansSpecialists

PractitionersFunders Managers

Policy MakersPCT/LA Public Health

IntelligenceAcademics

Cancer Network

Who is a partner?

• Check what you want from them, what they are able to bring and take away from involvement

• Ways to do this: eventsteering groupcommunication

• Shared learning

How do you harness them together?

• Time/many other competing issues• Political change• Who is future influencer/funder• Who has capacity• Momentum• Right balance of skills at right time• Recognising each persons/partners contribution

Challenges

• Leadership• Co-ordination• Give and take• Tolerance• Awareness of cultural differences• Momentum/drive/conviction mandate• Tangible outcomes• Realistic resources

All partnerships need: